Displaying 135481-135490 of 1611142 results.
ID:
135481
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
476345
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135482
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
476349
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135483
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
476350
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135484
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
476351
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
135485
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
835829
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135486
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
860975
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
135487
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
860981
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
135488
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
312136
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135489
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
312137
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
135490
Formulary ID:
00021056
Formulary Version:
15
Contract Year:
2021
RXCUI:
1299911
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
135481135482135483135484135485135486135487135488135489135490